Provider Demographics
NPI:1427574797
Name:ICARE TEAM HOME HEALTH CARE LLC DBA: ICARE
Entity Type:Organization
Organization Name:ICARE TEAM HOME HEALTH CARE LLC DBA: ICARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAMZA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUBAKAR-ELMEHRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-221-0729
Mailing Address - Street 1:1821 UNIVERSITY AVE W STE N188
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2870
Mailing Address - Country:US
Mailing Address - Phone:952-221-0729
Mailing Address - Fax:651-207-8147
Practice Address - Street 1:1821 UNIVERSITY AVE W STE N188
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2870
Practice Address - Country:US
Practice Address - Phone:952-221-0729
Practice Address - Fax:651-207-8147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-18
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty